Cornwall ectopic pregnancy 

Objective:

Reporting one of rare case of Cornwall ectopic pregnancy reach up to 34weeks of gestation 

Incidence:

It account 2-4%of ectopic pregnancy 

In rare condition Cornwall pregnancy can result in viable fetous 

Case presentation:

28 years old primi gravid low risk pregnancy had anomalies scan at 20 weeks after that she came in Labour at 34 weeks of gestation ,breech presentation contracting with closed cervix.

There was no history of leaking or bleeding 

No past history of pelvic inflammatory  diseases 

Regular cycle

She was belonging to area the only scan done at 20 weeks no dating or early scans

Patient taken for emergency lower segment caesarean section during  the surgery baby found placed to one side delivered by breech extraction, outcome Female baby weight 2.1kg apgar 6/9

Placenta was adherent to uterine Cornua , the cornua removed with the placenta and utreus found normal size noncomunicating with left cornua, resection of left cornua and left salpingectomy , right ovary and tube were normal 

Blood loss was 1000ml patient needed one unit of blood 

Patient recovery was uneventfully 

Discussion:

Cornual pregnancy rare condition with increase risk of maternal  morbidity and  mortality 

It is important  to do early dating scan for early detection of such rare cases 

An important  feature  of cornual pregnancy is that  the sac is surrounded by myometrium and though it is poorly developed it can continue the pregnancy  for longer time 

Conclusion:

The patient was diagnosed at the time of caesarean section. Despite that 20%of cases can cause uterine rupture if pregnancy  progress  beyond 12 weeks of gestation 

Refrances :

There is other cases reported regarding cornual pregnancy reached 37 weeks 

1-Kumar  p.MalhortaN,DElhi 

2-DamarioMA,RockJA,Delhi

3-TulandiT 2004